OFFICIAL USE ONLY: 956 Walnut Street Red Bluff CA 96080 (530)529-0430 Fax (530)529-5710 Association Executive: Donna Medina Per the Tehama County Association of Realtors MLS Rules and Regulation: To become a MLS member of the Tehama County Association of Realtors the BROKER of that office must join before any of the REALTORS/Agents can join. If the Broker has agents under his/her license the Broker must sign our Certification of MLS Non-Use (www.tcaor.com/pdf_forms/tcaor_certification_of_nonuse.pdf) form to be attached to the MLS Membership application. **Application will be held until all required information is received** EQUAL HOUSING OPPORTUNITY APPLICATION FOR REALTOR AND/OR MLS MEMBERSHIP TEHAMA COUNTY ASSOCIATION OF REALTORS TYPE OF APPLICATION 1. I apply for the following categories of membership (check all applicable boxes): Principal REALTOR Non-principal REALTOR REALTOR-ASSOCIATE Designated REALTOR Clerical User MLS Broker Participant MLS Appraiser Participant MLS Subscriber Appraiser or Affiliate Member Other: GENERAL INFORMATION 2. Name (as it appears on your license): 3. Name (as you wish it to appear on roster): 4. Firm Name: 5. Firm Address: (street) (city) (state) (zip) 6. Firm Telephone #: Firm Fax #: 7. List all other DBA's: Revised 7/30/09 Page 1
7a. Agent Cell# 8. Home Address: (street) (city) (state) (zip) 9. Home Telephone Number: Home Fax Number (if any) 10. Which do you want as the primary mailing address? Firm Home 11. E-mail Address: Birth date (M/D/Y): / / 12. Social Security #: Driver's License #: 13. DRE License #: OREA Appraisers License #: Type: Broker Sales Person Corporate Type: Certified General Certified Residential Licensed Expiration Date: Expiration Date: 14. Professional Designations: GRI CRS Other(s) (please specify): (if any) 15. Primary Specialty: Residential Brokerage Property management Commercial/Industrial Brokerage Appraising Farm and Land Brokerage Building and Development Mortgage Financing Other(s) (please specify): 16. List all Boards/Associations of REALTORS and MLS to which you CURRENTLY BELONG: Participant or Subscriber: 16a. List all Boards/Associations of REALTORS and MLS to which you PREVIOUSLY BELONGED: Participant or Subscriber: 16 b. MEMBER TYPE: I am a REALTOR am a Real Estate Agent NAR ID# I 17. Persons other than principals, partners, corporate officers or branch office managers of real estate or appraisal firms must remain employed by or affiliated with a Designated REALTORS REALTOR-ASSOCIATE membership. Persons other than principals, partners, corporate officers or branch office managers of real estate or appraisal firms who hold a valid California real estate broker's license must remain employed by or affiliated Revised 7/30/09 Page 2
with a MLS Broker Participant or MLS Appraiser Participant of the MLS in order to join as a MLS Subscriber. If applicable, please complete below: Name of Designated REALTORS /Agent: Designated REALTORS /Agent DRE License#: Name of MLS Broker or Appraiser Participant: MLS Broker or Appraiser Participant DRE or OREA License #: 18. MLS BROKER PARTICIPANTS ONLY. To be eligible for MLS membership, MLS Broker Participants must offer and/or accept offers of cooperation and compensation made by listing brokers or agents in the MLS. I certify that I actively endeavor during the operation of my real estate business to list real property of the type listed on the MLS and/or to accept offers of cooperation and compensation made by listing brokers or agents in the MLS. Yes, I certify. No I cannot certify. 19. DESIGNATED REALTORS /MLS BROKER AND APPRAISER PARTICIPANT APPLICANTS ONLY. Designated REALTORS and MLS Brokers and Appraiser Participant applicants must provide the Association a list of licensees employed by or affiliated with them and must also regularly update the Association on any changes, additions, or deletions from the list. On a separate sheet or form, please list all licensees under your license, including their name, the type of license, and their DRE or OREA license #. 19a. AFFILIATE PARTICIPANT Business License Number: attach copy of Business License to application Please 20. I am a (check the applicable boxes): sole proprietor corporate officer general partner branch office manager 21. If you checked any box in question 20, you must answer the following: a. Are you or your firm subject to any pending bankruptcy proceedings? Yes No b. Have you or your firm been adjudged bankrupt within the last three (3) years? Yes No If you answered yes to (a) or (b), you may be required to make cash payments for membership dues and MLS fees. 22. I certify that I have no record of official sanctions rendered by the courts or other lawful authorities within the past three (3) years for violations of: (i) civil rights laws Yes, I certify. No, I cannot certify. (ii) real estate licensing laws Yes, I certify No, I cannot certify. (iii) other laws prohibiting unprofessional conduct Yes, I certify No, I cannot certify. Revised 7/30/09 Page 3
If you could not certify any of the above, please attach additional sheets with all relevant details about the violation(s), including the date(s), type of violation(s), and a copy of the discipline, if any. 23. Have you been disciplined by any of the above Boards/Associations or MLS listed in question 15? Yes. If yes, attach copies of the discipline. No. 24. Have you ever been disciplined by the DRE? Yes. If yes, provide all relevant details and dates (or attach copies of discipline). No. GENERAL TERMS AND CONDITIONS OF MEMBERSHIP 1. Bylaws, policies and rules. I agree to abide by the bylaws, policies and rules of the Association, the bylaws, polices and rules of the California Association of REALTORS, and the constitution, bylaws, policies and rules of the National Association of REALTORS, all as may from time to time be amended. 2. Use of the term REALTORS OR REALTOR-ASSOCIATE. I understand that the professional designations REALTORS OR REALTOR-ASSOCIATE are federally registered trademarks of the National Association of REALTORS ("N.A.R.") and use of these designations are subject to N.A.R. rules and regulation. I agree that I cannot use these professional designations until this application is approved, all my membership requirements are completed, and I am notified of membership approval in one of these designations. I further agree that should I cease to be a REALTORS OR REALTOR-ASSOCIATE, I will discontinue use of the term REALTORS and REALTOR-ASSOCIATE in all certificates, signs seals or any other medium. 3. Orientation. I understand that if the Association or the MLS requires orientation, I must attend such orientation within the next two scheduled class as part of becoming a member of the Association or MLS. 4. No refund. I understand that my Association membership dues and MLS fees are non-refundable. In the event I fail to maintain eligibility for membership or for MLS Services for any reason, I understand I will not be entitled to a refund of my dues or fees. 5. Authorization to release and use information; waiver. I authorize the Association or its representatives to verify any information provided by me in this application by any method including contacting the California Department of Real Estate, my current or past responsible broker or designed REALTOR, or any Board/Association or MLS where I held, or continue to hold, any type of membership. I further authorize any Board/Association or MLS where I held, or continue to hold, any type of membership to release all my membership or disciplinary records to this Association, including information regarding (i) all final findings of Code of Ethics violations or other membership duties within the past three (3) years; (ii) pending ethics complaints (or hearing); (iii) unsatisfied discipline pending; (iv) pending arbitration requests (or hearings); and (v) unpaid arbitration awards or unpaid financial obligations. I understand that any information gathered under this authorization may be used in evaluation my application for membership and future disciplinary sanctions. I waive any legal claim or cause of action against the Association, its agents, employees or members including, but not limited to, slander, libel or defamation of character, that may arise from any action taken to verify, evaluate or process this application or other use of the information authorized and released hereunder. 6. By signing below, I expressly authorize the Board/Association, including the local, state and national, or their subsidiaries or representatives to fax, e-mail, telephone or send by U.S. mail to me, at the fax numbers, e-mail, telephone and addresses above, material advertising the availability of or quality of any property, goods or services offered, endorsed or promoted by the Board/Association. Revised 7/30/09 Page 4
7. Additional terms and conditions for MLS applicants only. I understand and agree that by becoming and remaining a broker participant or subscriber to the MLS, I agree to abide by the MLS rules, as from time to time amended, including but not limited to the following: A. I agree not to use the MLS data for any purpose other than to market property or support market valuations or appraisals as specifically set forth in the rules. B. I agree not to reproduce any portion of the active listings except as provided in the MLS rules. C. I agree not to download MLS data except as provided in the MLS rules. D. I agree not to allow anyone other than authorized participants, their subscribers and the clerical users as defined in the MLS rules to access any computer receiving MLS information. I agree not to transmit that information to any participants, subscribers and clerical users not authorized to access the system by the rules. I agree not to use the MLS to create another product except as may be used by the participant who downloaded the data in compliance with the MLS rules. E. I agree I will not give or sell my password to any person nor make it available to any person. I further understand that the California Penal Code and the United States Code prohibits unauthorized access to computer data bases. I agree not to allow such unauthorized access by use of either any of my equipment or pass codes. F. I understand that clerical users may be authorized to have limited access to the MLS for clerical support only. I understand that clerical users are not allowed to use the information in any way other than to provide such information to me. Person performing any activities that require a real estate license are not eligible for this clerical users classification. I further understand that any violation by a clerical user employed by me, under contract with me or used by me is my responsibility and can result in discipline and ultimate termination of MLS services. G. The security of homeowners depends on the security of the lockbox system. I will not lend or make available my lockbox key to any person, even if an authorized MLS user. I further understand tha the Board can incur costs in securing the system if I fail to take adequate measure to protect my key and lockbox and that I may be held responsible for these costs. H. I understand and agree that the above statements are in addition to the MLS rules, to which I have also agreed. Violation of any MLS rule may result in discipline, fine and ultimate termination of the service. In addition to that, my actions may cause damage to the Association which owns the MLS and the Association may pursue its legal remedies against me to recover such damages. 8. REALTORS, REALTOR-ASSOCIATE and MLS application only; Arbitration Agreement. A condition of membership in the Association as a REALTORS or REALTOR-ASSOCIATE and participation in the MLS is that you agree to binding arbitration of disputes. As a REALTORS (including Designated REALTORS ) or REALTOR-ASSOCIATE member, you agree for yourself and the corporation or firm for which you act as a partner, officer, principal or branch office manager to binding arbitration of disputes with (i) other REALTORS or REALTOR-ASSOCIATE members of this Association; (ii) with any member of the California or National Association or REALTORS ; and (iii) any client provided the client to binding arbitration at the Association. As a MLS Broker or Appraiser Participant or MLS Subscriber, you agree for yourself and the corporation or firm for which you act as a partner, officer, principal or branch office manager to binding arbitration of disputes with (i) other MLS participants and subscriber; or (ii) any other MLS Broker or Appraiser Participant or MLS Subscriber of another Board/Association MLS which shares a common database with this Association MLS through a Regional or Reciprocal Agreement. Any arbitration under this agreement shall be conducted using the Association facilities and in accordance with the Association rules and procedures for arbitration. Revised 7/30/09 Page 5
SIGNATURE I certify that I have read and agree to the terms an d conditions of this a pplication and that all information given in this application is true and correct. Signature of Applicant Date of Signature Signature of Designated REALTORS /Broker Date of Signature Signature of MLS Participant Date of Signature *Contributions or gifts to the Board/Association, the California Association of REALTOR, the National Association of REALTOR, IMPAC and CREPAC are not deductible as charitable contributions for federal income tax purposes. However, dues may be tax deductible as ordinary and necessary business expenses. REALTOR and REALTOR- Associations may participate in Political Survival by including a voluntary donation on the same check as your dues payment. No contributor will be favored or disfavored by reasons of the amount of his/her contribution or his/her decision not to contribute. Failure to contribute will not affect an individual's membership status in C.A.R. or MLS. Complete the form, fax or mail it to the Tehama County Association of Realtors. 956 Walnut Street, Red Bluff, CA 96080 ~ Fax (530) 529-5710 Revised 7/30/09 Page 6